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t. <br /> SYSTEM RECORD OF COMPLETION <br /> 9. NOTIFICATION APPLIANCES <br /> Type Quantity Description <br /> Audible <br /> Visible <br /> Combination Audible and Visible Li Horn S obes <br /> 10. SYSTEM CONTROL FUNCTIONS tJf <br /> Type Quantity <br /> Hold-Open Door Releasing Devices <br /> HVAC Shutdown <br /> Fire/Smoke Dampers <br /> Door Unlocking <br /> Elevator Recall <br /> Elevator Shunt Trip <br /> 11. INTERCONNECTED SYSTEMS <br /> N This system does not have interconnected systems. <br /> ❑ Interconnected systems are listed on supplementary <br /> sheet <br /> 12. CERTIFICATION AND APPROVALS <br /> 12.1 System Installation Contractor <br /> This system as specified herein has been installed according to all NFPA standards cited herein. <br /> l <br /> Signed: , , re - Printed name: TrraiiS re,k,n Date: rZr'/S1Z3 <br /> Organization: Po,4JJnr1a./ Se c.,i-,/ 4/ r,Title: Le4./ Tc.ii Phone: Sy I-'147.811 y <br /> 12.2 System Operational Test <br /> This system as specified herein has tested according to all NFPA standards cited herein. <br /> Signed: .--P ha Printed name: 7otv�S I<ir-ki A S Date: /2-//5723 <br /> Organization: Prof-eJ-f%aAa / Title: Lest" ic4 Phone: S/J.?C'7-9119 <br /> 12.3 Acceptance Test <br /> Date and time ot'acceptance test: 12//.r/ 3 9:06 i9+41 <br /> Installing contractor <br /> representative: —%-a.,s fe,,4r.•-,.3 <br /> Testing contractor representat ': Tq,,i s 4.;> <br /> Property representative `v <br /> AHJ representative: 15-'-vi-L 1..^-'%---t/`-/`6 <br /> Copyright 02018 Automatic Fire Alarm Association Phone,844-438-2322 vnwr.alaa.ofg <br /> :3ot3 <br />